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We found out at our second pediatrician appt. We also had it checked by an ENT. We didn't end up doing anything about it and it seems to be fine - hard to know if it will have much of an impact going forward. I had quite a bit of pain breastfeeding the first 8 weeks and having it clipped May have alleviated that but no way to know at this point.

I have no idea why they don't look for it at the hospital. I would have thought the lactation RN would have checked when he was having difficulty latching.

@googly-eyes: I had no idea about the cavities! LO has a gap in his teeth and we haven't noticed other issues. Our pediatrician had told us to mainly watch to see if he seemed to be having difficulty with movement at all and did mention the possibility of it affecting speech. We decided to see an ENT based on that but he didn't seem to advise having it clipped at that point. I figure we will revisit the option of having it corrected if we start to see issues.

Did you LOs dentist advise clipping it?

@googly-eyes: oh that makes sense! I think I read somewhere that a lot of kids have theirs cut by falling when they're young too. DH is concerned about LOs gap but I figure his permanent teeth may not come in the same way and there's the option for braces. My only regret is maybe not having it clipped early on if it could have made breastfeeding less painful in the beginning but it was a month before we were able to get an appt with the ENT so that ship had sailed by then.

@googly-eyes: it's extremely rare to have an upper lip tie without also having a posterior tongue tie, but those are very difficult to spot. Have an IBCLC who's knowledgeable in identifying ties, or a pediatric dentist take a look. Kiddsteeth.com is a really good resource.

The IBCLC I had visit us at 10 days old diagnosed LO. It was clipped when he was 2 weeks old. I think not clipping it can definitely impact breastfeeding negatively. IT tends to be genetic so that will be the first thing I have my next LO checked for in the hospital!

@googly-eyes: If your baby has a lip tie, she probably has a posterior tongue tie as well--they most often appear together, and PTTs are commonly missed because they don't present as typical tongue ties.

We had to make an appointment with an ENT on our own. We had such a difficult time BFing and our pedi didn't think he had a tongue tie. I knew something was up though so I took him to a specialist. The ENT was surprised because both his lip and posterior tongue tie were pretty severe and obvious.

@rahlyrah: Same here! My ped acted like I was crazy when I told him I wasn't leaving without the pediatric ENT referral I needed to make an appt. He thought it was totally unnecessary. Then the ENT was like "Whoa. Dr O couldn't see this?! I'd rate it as moderately severe."

So much more education needs to be done. There's no way we could've BF'ed without clipping.

We had a LC do an in-home visit when DD was about two weeks old, and she diagnosed a slight lip tie as the reason for my pain and our latch issues. DD's was slight enough that she thought it wouldn't be an issue as she grew, and so far, that seems to be the case. No one else ever looked for one.

@googly-eyes: I do! Here's mine:

The hospital ped noticed it when she had her 1 day check up. The surgeon came in a little later and did the procedure then. She has a little bit of a lip tie too, but not a huge deal. She also has a heart shaped tongue, which is a big indicator of tongue tie.